Longitudinal Ambulatory Clerkship


The Longitudinal Ambulatory Clerkship (LAC) places students in “home clinic” for a 12-month period beginning in January of Year One and extending through December of Year Two. For one four-hour session each week, students travel to their assigned clinic and practice their clinical skills in supervised settings under the direct guidance of supervising physicians. The LAC also allows students to experience firsthand many of the professional, behavioral and organizational issues that have an impact on the practice of medicine. This clerkship provides students with a case-based context for issues covered in the Horizontal Strands of the Genes to Society curriculum. Finally, students have the opportunity to develop a close relationship with a practicing physician and an ongoing, longitudinal relationship with a group of patients they see periodically during the clerkship. 

Clerkship Goals

During the clerkship, students will:

  • Learn about the clinical practice of medicine by working with a preceptor and patients in clinical practice.
  • Learn about clinical illness in concert with organ systems being reviewed in classroom work when possible.
  • Learn how illness may be affected by social, behavioral and systems issues (Horizontal Strands learning objectives).
  • Practice and refine clinical skills.
  • Practice self-directed learning, using the following skills:
    • Develop and follow a learning contract,
    • Read to prepare for clinic sessions and small-group activities,
    • Maintain a learning portfolio (patient tracker, case write-ups and reflections on learning experiences), and
    • Anticipate schedule issues and arrange passport activities as needed.
    • Follow a patient with illness over time.
    • Learn about the practice of primary care medicine.

Clerkship Director

Tina Kumra, M.D.

  • Longitudinal Ambulatory Clerkship Director
  • Office Medical Director

Assistant Director

Director Emeritus

Maura J McGuire, M.D.

  • Assistant Dean for Part-Time Faculty
  • Director of the Longitudinal Clerkship
  • Senior Director of Education and Training, Johns Hopkins Community Physicians
  • Associate Professor of Medicine


Iris Knox
Training Coordinator
Email: [email protected]

Time Commitment and Course Length: Year Two

The course meets three hours (one afternoon) per week from January of Year One through December of Year Two. Small-group sessions and simulated patient sessions occur on campus once a month in lieu of clinic sessions that week.

Week 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Genes to Society
Substance Use Disorders
Genes to Society
Cardiovascular GI / Liver
Longitudinal Ambulatory Clerkship Longitudinal Ambulatory Clerkship
Scholarly Concentrations Scholarly Concentrations
18 19 20 21 22 23 24 25 26 27 28 29
Patient Safety and Quality Improvement
Genes to Society
Transition to the Wards
Scholarly Concentrations